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General NPI Number Information
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NPI Number | 1417142126
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Entity Type | Organization
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Legal Business Name | RAMZI KIRIAKOS MD INC
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 4615 WHITE OAK PL
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City | ENCINO
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State | CA
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Zip | 91316-4336
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Country | US
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Telephone | 818-881-8208
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Fax | 818-881-7566
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Provider Business Mailing Address
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Address Line | PO BOX 16280
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City | ENCINO
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State | CA
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Zip | 91416-6280
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Country | US
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Telephone | 818-881-8208
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Fax | 818-881-7566
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMZI Z KIRIAKOS
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Credential | M.D.
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Telephone | 818-881-8208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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